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A novel mouse model identifies cooperating mutations and therapeutic targets critical for chronic myeloid leukemia progression.


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Authors

Giotopoulos, George  ORCID logo  https://orcid.org/0000-0003-1390-6592
van der Weyden, Louise 
Osaki, Hikari 
Rust, Alistair G 

Abstract

The introduction of highly selective ABL-tyrosine kinase inhibitors (TKIs) has revolutionized therapy for chronic myeloid leukemia (CML). However, TKIs are only efficacious in the chronic phase of the disease and effective therapies for TKI-refractory CML, or after progression to blast crisis (BC), are lacking. Whereas the chronic phase of CML is dependent on BCR-ABL, additional mutations are required for progression to BC. However, the identity of these mutations and the pathways they affect are poorly understood, hampering our ability to identify therapeutic targets and improve outcomes. Here, we describe a novel mouse model that allows identification of mechanisms of BC progression in an unbiased and tractable manner, using transposon-based insertional mutagenesis on the background of chronic phase CML. Our BC model is the first to faithfully recapitulate the phenotype, cellular and molecular biology of human CML progression. We report a heterogeneous and unique pattern of insertions identifying known and novel candidate genes and demonstrate that these pathways drive disease progression and provide potential targets for novel therapeutic strategies. Our model greatly informs the biology of CML progression and provides a potent resource for the development of candidate therapies to improve the dismal outcomes in this highly aggressive disease.

Description

Keywords

Animals, DNA Transposable Elements, Fusion Proteins, bcr-abl, Gene Expression Regulation, Leukemic, Genes, myb, Hematopoietic Stem Cells, Humans, Leukemia, Experimental, Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Mice, Transgenic, Molecular Targeted Therapy, Mutagenesis, Insertional, Mutation, Tumor Cells, Cultured, Vascular Endothelial Growth Factor C

Journal Title

J Exp Med

Conference Name

Journal ISSN

0022-1007
1540-9538

Volume Title

212

Publisher

Rockefeller University Press
Sponsorship
Medical Research Council (MR/M010392/1)
European Research Council (647685)
Worldwide Cancer Research (None)
Wellcome Trust (095663/Z/11/A)
Wellcome Trust (097922/Z/11/B)
Work in the Huntly laboratory is funded by CRUK, The European Research Council (ERC), Leukaemia Lymphoma Research, the Kay Kendall Leukaemia Fund, Wellcome Trust, the Medical Research Council (UK), the Leukemia Lymphoma Society America and the Cambridge NIHR Biomedical Research centre. David Adams is funded by Cancer Research UK and Wellcome Trust. Steffen Koschmieder has received funding from Deutsche José Carreras Leukämie-Stiftung (DJCLS; grant 10/23).